Arrow Acute Hemodialysis Catheter Kit (Teleflex — Double Lumen)
Pack Sizes Available
Product Description
Technical Specifications
- Brand and Manufacturer: Arrow brand — Teleflex Incorporated; global leader in vascular access devices; FDA cleared; CE marked; radiopaque polyurethane catheter construction; ARROWg+ard antimicrobial coating option (chlorhexidine + silver sulfadiazine)
- Catheter Design: Large-bore double-lumen construction (arterial lumen red, venous lumen blue); radiopaque catheter material for X-ray confirmation of tip position; soft flexible catheter tip for reduced vessel wall trauma during dwell; Seldinger technique insertion
- Available Sizes: 12Fr x 20cm | 13Fr x 15cm (right IJV) | 13Fr x 20cm (left IJV) | 14Fr x 20cm | 14Fr x 24cm (femoral); appropriate length selection based on insertion site and body habitus; higher French size provides higher blood flow rates for efficient dialysis
- Kit Contents: Double-lumen catheter with clamps and caps | introducer needle | J-tip guidewire | vessel dilator | syringe | needle guard | two injection caps | anchoring device | sterile drape | IFU; complete self-contained insertion kit; latex-free; single use
- Insertion Sites: Right internal jugular vein (preferred); left internal jugular vein; subclavian vein; femoral vein; insertion by Seldinger technique under ultrasound guidance (preferred) or anatomical landmark technique; tip position confirmed by CXR for IJV/subclavian
- Regulatory and Pack: FDA 510(k) cleared; CE marked; CDSCO compliant (India); pack of 1 individual sterile kit; single use only; handle per universal precautions; dispose per sharps and clinical waste protocol
Frequently asked questions
The Arrow Acute Hemodialysis Catheter Kit provides temporary vascular access for hemodialysis when a patient's permanent access (arteriovenous fistula, graft, or tunnelled catheter) is unavailable, maturing, or non-functional. It is inserted into a large central vein — typically the internal jugular (right or left), subclavian, or femoral vein — using the Seldinger technique. The double-lumen design creates a complete extracorporeal circuit: the arterial lumen (red, proximal port) withdraws blood from the vein to the dialysis machine, and the venous lumen (blue, distal port) returns the processed blood from the machine back to the patient. It is intended for short-term acute use until a more permanent vascular access solution is established.
ARROWg+ard is Teleflex Arrow's proprietary antimicrobial coating technology, incorporating chlorhexidine acetate and silver sulfadiazine on the external catheter surface and sometimes on the internal lumen surfaces. These agents have broad-spectrum antimicrobial activity against the organisms most commonly associated with catheter-related bloodstream infection (CRBSI) — principally Staphylococcus aureus, coagulase-negative Staphylococci, and Gram-negative bacilli. CRBSI in hemodialysis patients carries a significant mortality rate and leads to bacteraemia, endocarditis, and metastatic infections in this already vulnerable population. Catheter coating technology that reduces CRBSI rates is clinically and health-economically significant, and is increasingly specified in hospital infection control procurement policies for high-risk catheter categories.
Arrow acute hemodialysis catheters are available in 12Fr, 13Fr, and 14Fr diameters, with lengths of 15cm, 20cm, and 24cm. Selection is guided by insertion site and body habitus: right internal jugular insertion typically uses a 13.5Fr or 14Fr catheter with 15cm length; left internal jugular insertion requires a longer catheter (19.5-20cm) due to the longer distance to the superior vena cava from the left side; femoral insertion requires the longest catheter (24cm) to ensure the tip is positioned in the inferior vena cava above the iliac confluence, preventing recirculation. Larger French sizes (14Fr) provide higher blood flow rates essential for efficient hemodialysis; smaller sizes (12Fr) are used when vein anatomy or patient size requires a smaller profile.
The Seldinger technique is the standard method for percutaneous insertion of intravascular catheters. It proceeds as follows: (1) the target vein is punctured with a hollow introducer needle under ultrasound or landmark guidance; (2) a flexible guidewire (typically with a J-shaped tip to prevent vessel wall perforation) is advanced through the needle into the vein; (3) the needle is removed, leaving the guidewire in place; (4) a vessel dilator is passed over the guidewire to dilate the tissue tract; (5) the dilator is removed and the catheter is threaded over the guidewire into the vein; (6) the guidewire is withdrawn. The Arrow kit includes all required components for this technique: needle, guidewire, dilator, and catheter.
Acute hemodialysis catheters placed for temporary access are generally intended for short-term use — typically 1 to 4 weeks for non-tunnelled acute catheters. Internal jugular and subclavian sites are preferred over femoral for longer dwell times due to lower infection rates. Femoral catheters should ideally be removed within 3 to 5 days. Beyond 2 to 4 weeks, a tunnelled dialysis catheter (such as the Arrow Cannon II Plus) should replace the acute catheter to reduce infection risk and patient comfort. Each clinical setting should follow its institutional protocols for catheter dwell time and site rotation.
The Arrow Acute Hemodialysis Catheter Kit is a complete insertion kit. Standard kit components include: the double-lumen radiopaque polyurethane catheter (with pre-attached clamps, caps, and suture wing); a metal introducer needle; a flexible J-tip guidewire; a vessel dilator; a syringe; a needle guard; two injection caps; an anchoring device (suture wing or integrated anchor); and a sterile drape and instruction for use. The complete kit format eliminates the need to assemble separate components at the time of procedure, reducing setup time and the risk of component mismatch. All components are latex-free and supplied sterile.
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